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General NPI Number Information
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NPI Number | 1225852619
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Entity Type | Organization
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Legal Business Name | AZURA PALLIATIVE CARE AND HOSPICE WI, LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1233 N MAYFAIR RD STE 308
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City | MILWAUKEE
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State | WI
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Zip | 53226-3255
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Country | US
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Telephone | 414-455-6800
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Fax | 414-240-5208
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Provider Business Mailing Address
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Address Line | 1233 N MAYFAIR RD STE 308
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City | MILWAUKEE
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State | WI
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Zip | 53226-3255
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Country | US
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Telephone | 414-455-6800
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Fax | 414-240-5208
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JULIE A NORTHERN
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Credential | CSW
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Telephone | 414-455-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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